Active NPI
Howard D Dear, M.D.
- Cardiovascular Disease Physician
- Madison, MS
National Provider Identifier
1164432555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 04974
- Practice address
- 401 Baptist Dr
#304
Madison, MS 39110-2009 - Phone
- (601) 605-3531
- Fax
- (601) 605-3532
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 04974 | MS | Primary |
Addresses
Primary practice location
401 Baptist Dr
#304
Madison, MS 39110-2009
Mailing address
401 Baptist Dr
#304
Madison, MS 39110-2009
Phone (601) 605-3531
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4239272 | Other | MS | AETNA |
| 00115735 | Medicaid | MS | |
| 753068151011 | Other | MS | TRICARE |
| P00417794 | Other | MS | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04974 | MS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Oaks Management Company LLC | Past | Accepting new patients | |
| Heart Associates of Central Ms | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Jackson, MS
- NPI 1508036575
-
- Family Medicine Physician
- Jackson, MS
- NPI 1922029040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1164432555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BAPTIST DR",
"address_2": "#304",
"city": "MADISON",
"state": "MS",
"postal_code": "391102009",
"telephone_number": "601-605-3531",
"fax_number": "601-605-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BAPTIST DR",
"address_2": "#304",
"city": "MADISON",
"state": "MS",
"postal_code": "391102009",
"telephone_number": "601-605-3531",
"fax_number": "601-605-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAR",
"first_name": "HOWARD",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "04974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4239272",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115735",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "753068151011",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00417794",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.